CHAPTER XVIII.

THE HARVARD MEDICAL SCHOOL.

Upon the seventeenth of October, 1883, the centennial anniversary of the

Harvard Medical School, the new building upon the Back Bay was

dedicated. The fine, commodious structure is situated upon the corner of

Boylston and Exeter streets, and is at nearly equal distances from the

Massachusetts General Hospital, the City Hospital, the Boston Dispensary

and the Children's Hospital with their stores of clinical material,

available for the purposes of teaching. Close by, also, are the

Massachusetts Institute of Technology, the museums of the Society of

Natural History and of Fine Arts, and the Medical Library Association.

The building has a frontage of one hundred and twenty-two feet toward

the north on Boylston street, and of ninety feet toward the west on

Exeter street, and its corner position, together with the reservation

of a large open area on the east, will always insure good light and good

air.

The dedication exercises were divided into two parts, the opening

addresses being given in Huntington Hall, at the Institute of

Technology, and the remainder of the programme in the new building. Upon

the platform, in Huntington Hall, were seated President Eliot, of

Harvard University, the faculty of the Medical School, and numerous

invited guests. Upon the walls just back of the platform, against a

background of maroon-colored drapery, and directly over the head of the

original, hung a portrait of Professor Oliver Wendell Holmes. Beneath

this portrait was a fine marble bust of Professor Henry J. Bigelow, who

was seated beside Doctor Holmes.

President Eliot opened the exercises with the interesting address which

follows:

"We are met to celebrate the beginning of the second century of the

Medical School's existence, and the simultaneous completion of its new

building. It is a hundred years since John Warren, Benjamin Waterhouse

and Aaron Dexter were installed as professors of anatomy and surgery,

theory and practice, and _materia medica_ respectively, and without the

aid of collections or hospitals began to lecture in some small, rough

rooms in the basement of Harvard Hall, and in a part of little Holden

Chapel, at Cambridge. From that modest beginning the school has

gradually grown until it counts a staff of forty-seven teachers, ten

professors, six assistant professors, nine instructors, thirteen

clinical instructors, and nine assistants--working in the spacious and

well-equipped building, which we are shortly to inspect, and commanding

every means of instruction and research which laboratories, dispensaries

and hospitals can supply. Out of our present strength and abundance we

look back to the founding of the school and to its slow and painful

development. We bear in our hearts the three generations of teachers who

have served this school with disinterested diligence and zeal. We recall

their unrequited labors, their frequent anxieties and conflicts and

their unfulfilled hopes; we bring to mind the careful plantings and the

tardy harvests, reaped at last, but not by them that sowed. We meet,

indeed, to rejoice in present prosperity and fair prospects, but we

would first salute our predecessors and think with reverence and

gratitude of their toils and sacrifices, the best fruits of which our

generation has inherited.

"The medical faculty of to-day have strong grounds for satisfaction in

the present state of the school; for they have made great changes in its

general plan and policy, run serious risks, received hearty support from

the profession and the community, and now see their efforts crowned with

substantial success. By doubling the required period of study in each

year of the course, instituting an admission examination, strengthening

the examinations at the end of each year, and establishing a voluntary

fourth year of instruction, which clearly indicates that the real

standard of the faculty cannot be reached in three years, they have

taken step after step to increase their own labors, make the attainment

of the degree more difficult, and diminish the resort of students to the

school. They have deliberately sacrificed numbers in their determination

to improve the quality of the graduates of the school. At the same time

they have successfully carried out an improvement in medical education

which required large expenditures. This improvement is the partial

substitution, by every student, of personal practice in laboratories for

work upon books, and attendance at lectures. The North Grove street

building, erected in 1846-47, contained only one small laboratory for

students, that of anatomy. The new building contains a students'

laboratory for each of the five fundamental subjects--anatomy,

physiology, chemistry, histology and pathology--and that a large part of

the building is devoted to these working rooms. It was a grave question

whether the profession, the community and the young men who year by year

aspire to become physicians and surgeons would support the faculty in

making these improvements. The answer can now be recorded.

"The school has received by gift and bequest three hundred and twenty

thousand dollars in ten years; it has secured itself in the centre of

the city for many years to come by the timely purchase of a large piece

of land; it has paid about two hundred and twenty thousand dollars for a

spacious, durable and well-arranged building; it has increased its

annual expenditure for salaries of teachers from twenty thousand dollars

in 1871-72, to thirty-six thousand dollars in 1882-83; its receipts have

exceeded its expenses in every year since 1871-72, and its invested

funds now exceed those of 1871 by more than one hundred thousand

dollars. At the same time the school has become a centre of chemical,

physiological, histological and sanitary research, as well as a place

for thorough instruction; its students bring to the school a better

education than ever before; they work longer and harder while in the

school, and leave it prepared, so far as sound training can prepare them

to enter, not the over-crowded lower ranks of the profession, but the

higher, where there is always room.

"The faculty recognize that the generosity of the community and the

confidence of the students impose upon them reciprocal obligations. They

gladly acknowledge themselves bound to teach with candor and enthusiasm,

to observe and study with diligence that they may teach always better

and better, to illustrate before their students the pure scientific

spirit, and to hold all their attainments and discoveries at the

service of mankind. Certainly the medical faculty have good reason to

ask to-day for the felicitations of the profession and the public.

"Nevertheless, the governors, teachers, graduates and friends of this

school have no thought of resting contented with its present condition.

Instructed by its past, they have faith in its future. They hope they

know that the best fruits of their labors will be reaped by later

generations. The medical profession is fortunate among the learned

professions in that a fresh and boundless field of unimaginable

fertility spreads out before it. Its conquests to come are infinitely

greater than those already achieved. The great powers of chemistry and

physics, themselves all new, have only just now been effectively

employed in the service of medicine and surgery. The zooelogist,

entomologist, veterinarian and sanitarian have just begun to contribute

effectively to the progress of medicine.

"The great achievements of this century in medical science and the

healing art are all prophetic. Thus, the measurable deliverance of

mankind from small-pox is an earnest of deliverance from measles,

scarlatina, and typhoid fever. Within forty years anaesthetics and

antiseptics have quadrupled the chances of success in grave surgical

operations and have extended indefinitely the domain of warrantable

surgery; but in value far beyond all the actual benefits which have thus

far accrued to mankind from these discoveries is the clear prophecy they

utter of greater blessing to come. A medical school must needs be always

expecting new wonders.

"How is medical science to be advanced? First, by the devoted labors of

men, young and old, who give their lives to medical observations,

research and teaching; secondly, by the gradual aggregation in safe

hands of permanent endowments for the promotion of medical science and

of the sciences upon which medicine rests. Neither of these springs of

progress is to fail us here. Modern society produces the devoted student

of science as naturally and inevitably as mediaeval society produced the

monk. Enthusiastic devotion to unworldly ends has not diminished; it

only manifests itself in new directions. So, too, benevolence and public

spirit, when diverted by the teachings of both natural and political

science from many of the ancient forms of benevolent activity, have

simply found new and better modes of action.

"With thankfulness for the past, with reasonable satisfaction in the

present, and with joyful hope in the future, the medical faculty

celebrate this anniversary festival, welcoming their guests, thanking

their benefactors, and exchanging with their colleagues, their students,

and the governing boards mutual congratulations and good wishes as the

school sets bravely out upon its second century."

At the close of his address President Eliot turned to the large

audience, and said:

"I have now the pleasure of presenting to you our oldest professor and

our youngest; our man of science, and our man of letters; our teacher

and our friend, Doctor Holmes."

From the delightful and characteristic address of Doctor Holmes, we are

permitted to give the following extracts:

"We are in the habit of counting a generation as completed in thirty

years, but two lives cover a whole century by an easy act of memory. I,

who am now addressing you, distinctly remember the Boston practitioner

who walked among the dead after the battle of Bunker Hill, and pointed

out the body of Joseph Warren among the heaps of the slain. Look forward

a little while from that time to the period at which this medical school

was founded. Eight years had passed since John Jeffries was treading the

bloody turf on yonder hillside. The independence of the United States

had just been recognized by Great Britain. The lessons of the war were

fresh in the minds of those who had served as military surgeons. They

knew what anatomical knowledge means to the man called upon to deal with

every form of injury to every organ of the body. They knew what fever

and dysentery are in the camp, and what skill is needed by those who

have to treat the diseases more fatal than the conflicts of the

battlefield. They know also, and too well, how imperfectly taught were

most of those to whom the health of the whole community was

entrusted....

"And now I will ask you to take a stride of half a century, from the

year 1783 to the year 1833. Of this last date I can speak from my own

recollection. In April, 1833, I had been more than two years a medical

student attending the winter lectures of this school, and have therefore

a vivid recollection of the professors of that day. I will only briefly

characterize them by their various merits, not so much troubling myself

about what may have been their short-comings. The shadowy procession

moves almost visibly by me as I speak: John Collins Warren, a cool and

skilful operator, a man of unshaken nerves, of determined purpose, of

stern ambition, equipped with a fine library, but remarkable quite as

much for knowledge of the world as for erudition, and keeping a steady

eye on professional and social distinctions, which he attained and

transmitted.

"James Jackson, a man of serene and clear intelligence, well instructed,

not over book-fed, truthful to the centre, a candid listener to all

opinions; a man who forgot himself in his care for others and his love

for his profession; by common consent recognized as a model of the wise

and good physician. Jacob Bigelow, more learned, far more various in

gifts and acquirements than any of his colleagues; shrewd, inventive,

constructive, questioning, patient in forming opinions, steadfast in

maintaining them; a man of infinite good nature, of ready wit, of a keen

sense of humor, and a fine literary taste; one of the most accomplished

of American physicians; I do not recall the name of one who could be

considered his equal in all respects. Walter Channing, meant by nature

for a man of letters, like his brothers, William Ellery and Edward;

vivacious, full of anecdote, ready to make trial of new remedies, with

the open and receptive intelligence belonging to his name as a

birthright; esteemed in his specialty by those who called on him in

emergencies. The professor of chemistry of that day was pleasant in the

lecture room; rather nervous and excitable, I should say, and

judiciously self-conservative when an explosion was a part of the

programme."

Speaking of the new building, Doctor Holmes said:

"You will enter or look into more amphitheatres and lecture-rooms than

you might have thought were called for. But if you knew what it is to

lecture and be lectured to, in a room just emptied of its preceding

audience, you would be thankful that any arrangement should prevent

such an evil. The experimental physiologists tell us that a bird will

live under a bell glass until he has substituted a large amount of

carbonic acid for oxygen in the air of the bell glass. But if another

bird is taken from the open air and put in with the first, the new-comer

speedily dies. So when the class I was lecturing to, was sitting in an

atmosphere once breathed already, after I have seen head after head

gently declining, and one pair of eyes after another emptying themselves

of intelligence, I have said, inaudibly, with the considerate

self-restraint of Musidora's rural lover:

"'Sleep on, dear youth; this does not mean that you are indolent, or

that I am dull; it is the partial coma of commencing asphyxia.'

"You will see extensive apartments destined for the practical study of

chemistry and of physiology. But these branches are no longer studied as

of old, by merely listening to lectures. The student must himself

perform the analyses which he used to hear about. He must not be

poisoned at his work, and therefore he will require a spacious and

well-ventilated room to work in. You read but the other day of an

esteemed fellow-citizen who died from inhaling the vapors of a broken

demijohn of a corrosive acid. You will be glad to see that every

precaution is taken to insure the safety and health of our students.

"Physiology, as now studied, involves the use of much delicate and

complex machinery. You may remember the balance at which Sanctorius sat

at his meals, so that when he had taken in a certain number of ounces

the lightened table and more heavily weighted philosopher gently parted

company. You have heard, perhaps, of Pettenkofer's chamber, by means of

which all the living processes of a human body are made to declare the

total consumption and product during a given period. Food and fuel

supplied; work done. Never was the human body as a machine so

understood, never did it give such an account of itself, as it now does

in the legible handwriting of the cardiograph, the sphygmograph, the

myograph, and other self-registering contrivances, with all of which the

student of to-day is expected to be practically familiar.

... Among the various apartments destined to special uses one will be

sure to rivet your attention; namely, the Anthropotomic Laboratory,

known to plainer speech as the dissecting room. The most difficult work

of a medical school is the proper teaching of practical anatomy. The

pursuit of that vitally essential branch of professional knowledge has

always been in the face of numerous obstacles. Superstition has arrayed

all her hobgoblins against it. Popular prejudice has made the study

embarrassing and even dangerous to those engaged in it. The surgical

student was prohibited from obtaining the knowledge required in his

profession, and the surgeon was visited with crushing penalties for want

of that necessary knowledge. Nothing is easier than to excite the odium

of the ignorant against this branch of instruction and those who are

engaged in it. It is the duty and interest of all intelligent members of

the community to defend the anatomist and his place of labor against

such appeals to ignorant passion as will interfere with this part of

medical education, above all, against such inflammatory representations

as may be expected to lead to mid-day mobs or midnight incendiarism.

"The enlightened legislation of Massachusetts has long sanctioned the

practice of dissection, and provided means for supporting the needs of

anatomical instruction, which managed with decent privacy and

discretion, have served the beneficent purpose intended by the wise and

humane law-givers, without doing wrong to those natural sensibilities

which are always to be respected.

"During the long period in which I have been a professor of anatomy in

this medical school, I have had abundant opportunities of knowing the

zeal, the industry, the intelligence, the good order and propriety with

which this practical department has been carried on. The labors

superintended by the demonstrator and his assistants are in their nature

repulsive, and not free from risk of diseases, though in both these

respects modern chemistry has introduced great ameliorations. The

student is breathing an air which unused senses would find insufferable.

He has tasks to perform which the chambermaid and the stable-boy would

shrink from undertaking. We cannot wonder that the sensitive Rousseau

could not endure the atmosphere of the room in which he had began a

course of anatomical study. But we know that the great painters, Michael

Angelo, Leonardo and Raphael must have witnessed many careful

dissections; and what they endured for art our students can endure for

science and humanity.

"Among the large number of students who have worked in the department of

which I am speaking during my long term of service--nearly two thousand

are on the catalogue as students--there must have been some who were

thoughtless, careless, unmindful of the proprieties. Something must be

pardoned to the hardening effect of habit. Something must be forgiven to

the light-heartedness of youth, which shows itself in scenes that would

sadden and solemnize the unseasoned visitor. Even youthful womanhood has

been known to forget itself in the midst of solemn surroundings. I well

remember the complaint of Willis, a lover of the gentle sex, and not

likely to have told a lie against a charming young person; I quote from

my rusty memory, but I believe correctly:

She trifled! ay, that angel maid,

She trifled where the dead was laid.

"Nor are older persons always so thoughtful and serious in the presence

of mortality as it might be supposed they would show themselves. Some of

us have encountered Congressional committees attending the remains of

distinguished functionaries to their distant place of burial. They

generally bore up well under their bereavement. One might have expected

to find them gathered in silent groups in the parlors of the Continental

Hotel or the Brevoort House; to meet the grief-stricken members of the

party smileless and sobbing as they sadly paced the corridors of

Parker's, before they set off in a mournful and weeping procession. It

was not so; Candor would have to confess that it was far otherwise;

Charity would suggest that Curiosity should withdraw her eye from the

key-hole; Humanity would try to excuse what she could not help

witnessing; and a tear would fall from the blind eye of oblivion and

blot out their hotel bills forever.

"You need not be surprised, then, if among this large number of young

men there should have been now and then something to find fault with.

Twice in the course of thirty-five years I have had occasion to rebuke

the acts of individual students, once in the presence of the whole

class on the human and manly sympathy of which I could always safely

rely. I have been in the habit of considering myself at liberty to visit

the department I am speaking of, though it had its own officers; I took

a part in drawing up the original regulations which governed the methods

of work; I have often found fault with individuals or small classes for

a want of method and neatness which is too common in all such places.

But in the face of all peccadilloes and of the idle and baseless stories

which have been circulated, I will say, as if from the chair I no longer

occupy, that the management of the difficult, delicate and all important

branch committed to the care of a succession of laborious and

conscientious demonstrators, as I have known it through more than the

third of a century, has been discreet, humane, faithful, and that the

record of that department is most honorable to them and to the classes

they have instructed.

"But there are better things to think of and to speak of than the false

and foolish stories to which we have been forced to listen. While the

pitiable attempt has been making to excite the feelings of the ignorant

against the school of the university, hundreds of sufferers throughout

Christendom--throughout civilization--have been blessing the name of

Boston and the Harvard Medical School as the source from which relief

has reached them for one of the gravest injuries, and for one of the

most distressing of human maladies. I witnessed many of the experiments

by which the great surgeon who lately filled a chair in Harvard

University, has made the world his debtor. Those poor remains of

mortality of which we have heard so much, have been of more service to

the human race than the souls once within them ever dreamed of

conferring. Doctor Bigelow's repeated and searching investigations into

the anatomy of the hip joint showed him the band which formed the chief

difficulty in reducing dislocations of the thigh. What Sir Astley Cooper

and all the surgeons after him had failed to see, Doctor Bigelow

detected. New rules for reduction of the dislocation were the

consequence, and the terrible pulleys disappeared from the operating

amphitheatre.

"Still more remarkable are the results obtained by Doctor Bigelow in the

saving of life and the lessening of suffering in the new method of

operation for calculus. By the testimony of those renowned surgeons, Sir

Henry Thompson and Mr. Erichsen, by the award to Doctor Bigelow of a

sexennial prize founded by the Marquis d' Argenteuil, and by general

consent, this innovation is established as one of the great modern

improvements in surgery. I saw the numerous and patient experiments by

which that priceless improvement was effected, and I cannot stop to moan

over a scrap of integument, said to have been made imperishable, when I

remember that for every lifeless body which served for these

experiments, a hundred died or a thousand living fellow creatures have

been saved from unutterable anguish, and many of them from premature

death.

"You will visit the noble hall soon to be filled with the collections

left by the late Professor John Collins Warren, added to by other

contributors, and to the care and increase of which the late Doctor John

Jackson of precious memory gave many years of his always useful and

laborious life. You may expect to find there a perfect Golgotha of

skulls and a platoon of skeletons open to the sight of all comers. You

will find portions of every human organ. You will see bones softened by

acid and tied in bowknots; other bones burned until they are light as

cork and whiter than ivory, yet still keeping their form; you will see

sets of teeth from the stage of infancy to that of old age, and in every

intermediate condition, exquisitely prepared and mounted; you will see

preparations that once formed portions of living beings now carefully

preserved to show their vessels and nerves; the organ of hearing

exquisitely carved by French artists; you will find specimens of human

integument, showing its constituent parts in different races; among the

rest, that of the Ethiopian, with its cuticle or false skin turned back

to show that God gave him a true skin beneath it as white as our own.

Some of these specimens are injected to show their blood vessels; some

are preserved in alcohol; some are dried. There was formerly a small

scrap, said to be human skin, which had been subjected to the tanning

process, and which was not the least interesting of the series. I have

not seen it for a good while, and it may have disappeared as the cases

might happen to be open while unscrupulous strangers were strolling

through the museum. If it has, the curator will probably ask the next

poor fellow who has his leg cut off, for permission to have a portion of

its integument turned into leather. He would not object, in all

probability, especially if he were promised that a wallet for his pocket

or a slipper for his remaining foot, should be made from it.

"There is no use in quarrelling with the specimens in a museum because

so many of them once formed a part of human beings. The British

Government paid fifteen thousand pounds for the collection made by John

Hunter, which is full of such relics. The Huntarian Museum is still a

source of pride to every educated citizen in London. Our foreign

visitors have already learned that the Warren Anatomical Museum is one

of the sights worth seeing during their stay among us. Charles Dickens

was greatly interested in looking through its treasures, and that

intelligent and indefatigable hard worker, the Emperor of Brazil,

inspected its wonders with as much curiosity as if he had been a

professor of anatomy. May it ever remain sacred from harm in the noble

hall of which it is about taking possession. If violence, excited by

false outcries, shall ever assail the treasure-house of anthropology, we

may tremble lest its next victim shall be the home of art, and ignorant

passions once aroused, the archives that hold the wealth of literature

perish in a new Alexandrian conflagration. This is not a novel source of

apprehension to the thoughtful. Education, religious, moral,

intellectual, is the only safeguard against so fearful a future.

"To one of the great interests of society, the education of those who

are to be the guardians of its health, the stately edifice which opens

its doors to us for the first time to-day is devoted. It is a lasting

record of the spirit and confidence of the young men of the medical

profession, who led their elders in the brave enterprise, an enduring

proof of the liberality of the citizens of Boston and of friends beyond

our narrow boundaries, a monument to the memory of those who, a hundred

years ago, added a school of medicine to our honored, cherished, revered

university, and to all who have helped to sustain its usefulness and

dignity through the century just completed.

"It stands solid and four square among the structures which are the

pride of our New England Venice--our beautiful metropolis, won by

well-directed toil from the marshes and creeks and lagoons which were

our inheritance from nature. The magnificent churches around it let in

the sunshine through windows stained with the pictured legends of

antiquity. The student of nature is content with the white rays that

show her just as she is; and if ever a building was full of light--light

from the north and the south; light from the east and the west; light

from above, which the great concave mirror of sky pours down into

it--this is such an edifice. The halls where Art teaches its lessons and

those where the sister Sciences store their collections, the galleries

that display the treasures of painting, and sculpture, are close enough

for agreeable companionship. It is probable that in due time the Public

Library, with its vast accumulations, will be next door neighbor to the

new domicile of our old and venerated institution. And over all this

region rise the tall landmarks which tell the dwellers in our streets

and the traveller as he approaches that in the home of Science, Arts,

and Letters, the God of our Fathers is never forgotten, but that high

above these shrines of earthly knowledge and beauty, are lifted the

towers and spires which are the symbols of human aspiration ever looking

up to Him, the Eternal, Immortal, Invisible."

At the conclusion of this noble address, the portrait of Professor

Oliver Wendell Holmes was presented to the Medical School by Doctor

Minot, in the happily-chosen words that follow:

"Many alumni of the school, together with some of its present students,

have desired that a permanent memorial of their beloved teacher,

Professor Oliver Wendell Holmes, should be placed in the new college

building, in token of their gratitude for the great services which he

has rendered to many generations of his pupils. By his eminent

scientific attainments, his sound method of teaching, his felicity of

illustration, and his untiring devotion to all the duties of his chair,

he inspired those who were so fortunate as to come under his instruction

with the importance of a thorough knowledge of anatomy, the foundation

of medical science. In the name of the alumni and students of this

college, I have the pleasure of presenting to the medical faculty a

portrait of Professor Holmes, painted by Mr. Alexander, to be placed in

the college in remembrance of his invaluable services to Harvard

University, to the medical profession and to the community."

The bust of Professor Bigelow was then presented to the school by Hon.

Samuel Green, in the following words:

"The pleasant duty has been assigned me, Mr. President, to present to

you, as the head of the corporation of Harvard College, in behalf of his

many friends, this animated bust of Professor Henry J. Bigelow. The list

of subscribers comprises about fifty names, and includes nearly all the

surgeons of the two great hospitals in this city; several gentlemen not

belonging to the medical profession, but warm personal friends of Doctor

Bigelow; a few ladies who had been his patients; and all the surgical

house pupils who had ever been connected with the Massachusetts General

Hospital during his long term of service at that institution, so far as

they could easily be reached by personal application. The bust is given

on the condition that it shall be placed permanently in the new surgical

lecture room, which corresponds to the scene of Doctor Bigelow's long

labors in the old building. It has been made by the eminent sculptor,

Launt Thompson of New York, and is a most faithful representation of the

distinguished surgeon. It outlines with such accuracy and precision the

features of his face and the pose of his head that nothing is wanted, in

the opinion of his friends, to make it a correct likeness.

"I need not, in the presence of this audience, name the various steps by

which Doctor Bigelow has reached the high position which is conceded to

him as freely and fully in Europe as it is in America; but I cannot

forbear an allusion to some of his original researches. His mechanism of

the reduction of a dislocated femur by manipulation was a great

discovery in surgical science, and follows as a simple corollary to the

anatomical facts which he has so clearly and minutely demonstrated. His

operation of rapid lithotrity has deprived a painful disease of much of

its terror as well as of its danger. Nor should I overlook on this

occasion his quick and ready discernment of the importance of Doctor

Morton's demonstration of the use of ether as a safe anaesthetic, which

took place at the Massachusetts General Hospital in the autumn of 1846.

The discovery of this greatest boon to the human family since the

invention of printing, was fraught with such immense possibilities that

the world was slow to realize its magnitude; but by the clear foresight

and prudent zeal of Doctor Bigelow, shown in many ways, the day was

hastened when its use became well nigh universal.

"Doctor Bigelow has filled the chair of surgery in this medical school

during thirty-three years, a period of professional instruction that

rarely falls to the lot of any teacher; and he now leaves it with the

honored title of professor emeritus. During this long term of service he

has taught, through his lectures, probably not fewer than one thousand

eight hundred students, who have graduated at the Harvard Medical

School, and perhaps seven thousand five hundred more who have taken

their degrees elsewhere; and by these thousands of physicians now

scattered throughout the land, those of them who survive, Doctor Bigelow

is remembered as most eminently a practical teacher. Active in his

profession, clear in his instruction, and enthusiastic in his

investigations, he always had the happy faculty of imparting to his

students a kindred spirit and zeal. _Haud inexpertus loquor._"

The remainder of the exercises took place in the new building. The

dedicatory prayer was offered by Rev. Doctor Peabody, who consecrated

the building "to science, humanity and charity, to Christian tenderness

and love, and to all the ministries that can enrich humanity."

President Eliot then said:

"In behalf of the President and Fellows of Harvard University, and of

the Medical School, I declare this building to be devoted to medical

science and the art of healing."

Professor Henry W. Williams, in behalf of the medical faculty, said:

"Friends of the Harvard Medical School: For a hundred years the medical

faculty of Harvard College have earnestly sought to discover, and

striven faithfully to teach, whatever might exalt the condition, relieve

the woes and prolong the service of those minds and bodies through which

man lives, and moves, and is. Year by year they have seen their horizon

of knowledge extended and their sphere of duty enlarged. But, though

zeal and self-sacrifice have not been wanting, their efforts to be

useful have been continually hindered because of imperfect facilities

and scanty resources. All is changed. In this more wonderful than

Aladdin's palace, risen from the sea,[8] and which has already endured

the wrath and mercy of the flames, we see a fulfilment of our hopes, and

the means and assurance of success. Thanks to generous benefactors,

there will no longer be a lack of room or of appliances for our needs;

our work will go on under fairer auspices, and we can offer to disciples

of the healing art fitter opportunities and ampler aid in their studies.

"As spokesman of the faculty on this occasion, so full of felicitation

and of promise, I would I could give to their message a host of tongues,

to adequately thank those whose great flood of bounty has thus favored

and endowed us. In occupying this beautiful and convenient structure, we

shall ever feel that the place is dignified by the givers' deed. And we

rejoice the more, because we know that this gift of three hundred

thousand dollars has been bestowed by those who are accustomed to use

their own eyes in their estimation of desert, and that it signifies a

hearty approval of our endeavors, and an intent that medical science, as

it is to be here embodied and taught, shall have a warm and generous

support.

"In accepting this more than princely gift as a token that the value and

necessity of well-educated physicians to every community is felt and

acknowledged, we hail the privilege of goodly fellowship in which the

donors and ourselves have become co-workers, to the end that blessings

to the whole land may arise and be memorized in this institution; and we

trust that the efforts of the faculty to advance the knowledge, train

the judgment and perfect the skill of those entering our profession will

ever continue to deserve countenance and help.

Colonel Henry Lee's address was the next to follow:

Mr. President: Thanks for your invitation to be present on this

interesting occasion--the hundredth anniversary of your medical school

and the dedication of a new building of fair proportions, well adapted

to your wants, as far as a non-professional can judge. You have assigned

to me the honorable task of speaking for the contributors to the

building fund. I little thought, as I used to gaze with awe at that

prim, solitary, impenetrable little building in Mason Street, and with

imaginative companions conjure up the mysteries within, that I should

ever dare to enter and explore its interior; nor have I yet acquired

that relish for morbid specimens which characterized my lamented

kinsman, who devoted so many years to accumulating and illustrating your

pathological collection. It is an ordeal to a layman, Mr. President,

especially to one who has reached the sixth age, to be so forcibly

reminded, as one is here, of the

last scene of all

That ends this strange, eventful history,

_Sans_ teeth, _sans_ eyes, _sans_ taste, _sans_ everything,

and it is a further ordeal to assume to speak for others, whose motives

for aiding you I may not adequately set forth. This I can say, that we

are citizens of no mean city; that private frugality and public

liberality have distinguished the inhabitants of this 'Old Town of

Boston,' from the days of the good and wise John Winthrop, whose own

substance was consumed in founding this colony, to the present time.

Down through these two centuries and a half the multiform and

ever-increasing needs of the community have been discovered and

supplied, not by Government, but by patriotic citizens, who have given

of their time and substance to promote the common weal, remembering

'that the body is not one member, but many, and that the members should

have the same care, one for another.' It is this public spirit,

manifested in its heroic form in our civil war, that has made this dear

old Commonwealth what we all know it to be, despite foul slanders. Far

distant be the day when this sense of brotherhood shall be lost. Purple

and fine linen are well, if one can afford them; but let not Dives

forget Lazarus at his gate.

Ill fares the land, to hastening ills a prey,

Where wealth accumulates, and men decay.

"Whatever doubts may arise as to some of our benevolent schemes, our

safety and progress rest upon the advancement of sound learning, and we

feel assured that the increased facilities furnished by this ample

building, for acquiring and disseminating knowledge of our fearful and

wonderful frame, will be improved by your brethren. Some of the papers

read before the International Medical College, in London, two years ago,

impressed me deeply with the many wants of the profession. And who are

more likely to have their wants supplied? for the physician is not

regarded here, as in some countries, as the successor to the barber

surgeon, and his fees slipped into his upturned palm as if he were a

mendicant or a menial. Dining with two Englishmen, one an Oxford

professor, the other the brother of a lord, a few years since, I was

surprised to hear their views of the social standing of the medical

profession, and could not help contrasting their position here, where,

if not all autocrats, they are all constitutional, and some of them

hereditary, monarchs, accompanied by honor, love, obedience, troops of

friends. But however ranked, physicians have the same attributes the

world over. I have had occasion to see a good deal of English, French,

German and Italian physicians under very trying circumstances, and have

been touched by their affectionate devotion to their patients. The good

physician is our earliest and our latest friend; he listens to our first

and our last breath; in all times of bodily distress and danger we look

up to him to relieve us. 'Neither the pestilence that walketh in

darkness, nor the sickness that destroyeth in the noonday, deters him.'

Alike to him is time, or tide,

December's snow or July's pride;

Alike to him is tide, or time,

Moonless midnight, or matin prime.

"The faithful pursuit of any profession involves sacrifice of self; but

the man who calls no hour his own, who consecrates his days and nights

to suffering humanity, treads close in the footsteps of his Master. No

wonder, then, that the bond between them and their patients is so

strong; no wonder that we respond cheerfully to their call, in gratitude

for what they have, and in sorrow for what they have not, been able to

do to preserve the lives and to promote the health of those dear to us.

And how could money be spent more economically than to promote the

further enlightenment of the medical profession? What better legacy can

we leave our children, and our children's children, than an illumined

medical faculty?"

After these addresses a reception was given to the subscribers to the

building fund by President Eliot and the faculty of the Medical School.

In referring to Doctor Holmes' brave, outspoken words, an eminent Boston

clergyman wrote as follows:

"The only qualification which we have heard of the universal and

enthusiastic appreciation of the sage, the vivacious and the rich

utterance of our admired doctor and foremost man of letters on this

occasion, was in a somewhat regretful feeling that he should have turned

the full power of his humor and of his caustic satire upon the mean and

contemptible effort of an unprincipled demagogue to defame the Harvard

Medical School. We do not sympathize with even this qualified stricture

on the remarks of Doctor Holmes here referred to. True, his address was

an historical one, designed for an historical review of the past of the

institution. But it is also to serve the uses of history for the future,

especially as a record of the aspects of the institution and of the

interest and confidence of our living community in it during the year

marking such a conspicuous event for it as the inauguration of the new

edifice prepared for it by the munificence of those who appreciate its

almost divine offices of mercy and benevolence. And during this very

year, an assault of the most dastardly character has been made upon it

by one who, high in office and with vast power of influence over an

ignorant and easily prejudiced constituency, knows as well as any one

among us the utter and wicked falsity of his allegations.

"Doctor Holmes was forced to make some recognition of these slanders

addressed to the uninformed, credulous and gullible portion of our

community. He would have been generally censured if he had passed them

by. The only question for him and for a critically judging community

would concern the true spirit and way in which he should recognize them.

We can conceive of no more fitting and effective course than that which

the sagacious doctor followed. The occasion was one in which it was for

him, in defining and greeting the steady advance made during a century

in medical and surgical science among us, to remind his hearers that

those to whom we are indebted for this advancement, have had, with their

own noble, personal devotion and effort, to triumph over and fight their

way against all the prejudices and obstructions which popular ignorance,

prejudice and superstition have engaged to annoy and withstand them. In

scarcely any one of the multiplied interests of average society have

popular weaknesses and follies more mischievously asserted themselves

than in opposition to hospitals and medical schools. When that noble

institution, the Massachusetts General Hospital, was devised, about

three quarters of a century ago, the most besotted folly and suspicion

were engaged against those who planned and fostered it. It was charged

that under the guise of benevolent service for homeless sufferers and

for the victims of accident or special maladies, it was really to be

artfully used for the trial of new medicines and risky experiments on

the poor and humble, that practitioners might have the benefit of the

knowledge thus gained in dealing with their rich patients. Let any one

visit the wards of that institution to-day, or read its annual reports,

noting the thousands of cases of its work of mercy in restoration or

relief of all classes of sufferers, and then recall the asinine abuse

visited upon its projectors. The millions of money which have been

poured into its treasury, mostly from the private benevolence of our own

citizens, is the crown of glory for that institution. An appeal of the

most artful and atrocious sort to this same popular ignorance and

passion has been made this year for purposes which we need not search

the dictionary to characterize with fitting epithets. How could Doctor

Holmes on this great occasion pass it by? How could he have treated the

offence and the offender with a more fitting combination of wit and

scorn? Most happy also was his suggestive allusion to the self mastery

by which practitioners at the dissecting table have to control, in the

interest of their high service, revulsions and shrinkings incident to

disgusting offices unknown even to chambermaids and stable boys.

"But as Doctor Holmes well said, there are more attractive and

instructive matters to engage our most grateful interest in the occasion

to which he gave such a grand interpretation. The century of medical

history which he sketched with such a naive and vigorous narrative has

its most suggestive incidents lettered on the walls on the main stairway

of the imposing edifice just opened for use. Little Holden Hall in

Cambridge; the obscure structure on Mason street; the melancholy

building on Grove street, with its tragic history, in which the donor of

its site was turned to a use by no means serviceable to science, make up

the genealogical, architectural ancestry of the new hall. The

development in the material fabric is no inadequate symbol of the

progress in every quality, accomplishment and attainment characteristic

of the advance of the profession in the last hundred years."

The name of Doctor Holmes will always be so intimately connected with

the Harvard Medical School that we give below a brief sketch of its past

history.

In the year 1780, the Boston Medical Society voted "that Doctor John

Warren be desired to demonstrate a course of anatomical lectures the

ensuing winter." The course of lectures proved so popular that the

corporation of the college asked Doctor Warren to draw up a plan for a

Medical School in connection with Harvard College. At the commencement

of the school, October 7th, 1783, there were three professors: Doctor

John Warren, who lectured on anatomy and surgery; Doctor Aaron Dexter,

who took the department of chemistry and materia medica; and Doctor

Benjamin Waterhouse, instructor in the theory and practice of medicine.

During the first year of its establishment the attendance was rather

small, consisting of members of the senior class of the college and

those students who could procure the consent of their parents. The name

of the first graduate recorded was that of John Fleet, in 1788, and he

seems to have been the only graduate of that class.

In 1806, Doctor John Collins Warren, son of Doctor John Warren, was

appointed assistant professor of anatomy and surgery. He proved a most

enthusiastic laborer in behalf of the school and to it he gave his large

anatomical collection, which was considered the most complete in the

country. In his will he bequeathed his body to the interest of science,

and provided that his skeleton be prepared and mounted, to serve the

uses of the demonstrators on anatomy. It was he, also, who took the

first steps that led to the establishment of the Medical School in

Boston. At 49 Marlborough street, he opened a room for the demonstration

of practical anatomy, and here a course of lectures was started in the

autumn of 1810 by Doctors Warren, Jackson, and Waterhouse.

In 1816, the "Massachusetts Medical College" was formally inaugurated in

a building erected on Mason street by a special grant from the

Commonwealth. At this time the faculty consisted of Doctors Jackson,

Warren, Gorham, Jacob Bigelow and Walter Channing.

In 1821 the Massachusetts General Hospital on Allan street, was

established; the two institutions have since been intimately connected

as the resources afforded students by the Hospital are here given to

members of the Medical School.

In 1836, Doctor Jackson resigned his position, and Doctor John Ware, the

assistant professor of theory and practice was appointed in the chair.

Eleven years later Doctor John Collins Warren resigned, having served

the interests of the school for forty-one years.

In 1847, through the liberality of Doctor George C. Shattuck, Sr., a

professorship of pathological anatomy was established, and Doctor John

Barnard Swett Jackson was appointed to fill the chair. It was during

this year that Doctor Oliver Wendell Holmes was chosen Parkman professor

of anatomy and physiology.

In 1849 Doctor Henry J. Bigelow was appointed to the chair of surgery

left vacant by the resignation of Doctor George Hayward, and in 1854,

Doctor Walter Channing was succeeded by Doctor David Humphreys Storer.

In 1855 Doctor Jacob Bigelow resigned, and was succeeded by Doctor

Edward Hammond Clarke.

The building on North Grove street, erected by a grant of the State upon

land donated by Doctor George Parkman, was first occupied by the school

in 1846. In this building, which was considered amply commodious at that

time, were stored the Warren Anatomical Museum, the physiological

library founded by George Woodbury Swett, the gifts to the chemical

department by Doctor John Bacon, and the collection of microscopes given

by Doctor Ellis. Since then the number of medical students has

constantly increased and the accommodations becoming inadequate, steps

were taken for the erection of the new building.

FOOTNOTES:

[8] The site occupied by the medical college was once covered by the

tides.

Life of Oliver Wendell Holmes · 第 18 / 21 章